ER (1994–2009): Season 2, Episode 20 - Fevers of Unknown Origin - full transcript

In order to avoid having to deal with her personal problems regarding little Susie, Susan wholly absorbs herself in her work.

'There's a blown water heater
at a residential location.'

'Southeast corner
of Gaze and Throup.'

Copy that. Unit 47 will
respond in about five.

Alright, everyone
wears rubber boots.

'Find Carol that extra pair.'

Hey, I thought the idea was
you guys respond to emergencies

not cause them.

Hey, hang on, hang on.

We have to pay your nurses back.

Every time an MICN rides along

we get double the calls.



Come on, Riley,
you're going to jinx us.

'Shep!'

This is unit 47 en route.

'Copy, 47.'

Uh‐huh.

This is Ross.

No, Doug Ross.

Ray's away on business.

Uh, hey..

Lemme, lemme, lemme, uh

lemme give you somebody

who can answer that. Here.

'Hello.'

'Anybody there?'



‐ 'Hello.'
‐ This is Karen Hines.

Oh, hi, Andy.

Uh, yeah.
How‐how are the Marlin running?

Oh, no kidding?

I‐I thought you had fished
out every key South of largo.

So, Andy, Ray
isn't there with you?

Oh, I guess he must have gotten
distracted in the Caymans.

Ah...that's nice.

You. Yeah‐yeah, you just tell
him he's got to call Chicago

when he gets in.

Yeah, we miss him up here.

You know..

You are a good liar.

I wasn't lying.

I wasn't.. I do miss Ray.

He's a kick.

He's a dying breed.

Oh, man,
this is really perverse.

Oh, hey, it's unlike your
dad and I are going steady

'so let's just minimize
this Oedipus stuff.'

‐ You wanna call in sick?
‐ Mm‐hmm.

Rent a Jackie Chan movie?

No, it doesn't work that way.

You could meet me for
a late lunch around 4 o'clock

is what you could do.

I hate hospitals.

Okay, how do you feel
about diners?

There's one across the street.

You could meet me there.

Uh‐huh, a real diner?

Meat loaf, ketchup on the table.

You've seduced women
before, haven't you?

She's down here somewhere!

It just blew up.

‐ 'Becky girl!'
‐ Water heater was here?

Your daughter's bed was there?

'Oh, my God!'

Please, sir!
Please, you have to step away.

You shouldn't be down here
with bare feet!

Please! That's still
standing water!

'I told you we needed
a new one!'

'We couldn't afford it.'

'But we can afford a case
of bourbon every week!'

‐ Would you just shut up?
‐ Reilly, go get backup.

‐ I got it.
‐ We're so weak. I told you!

‐ No, I don't know!
‐ Why don't you shut up!

Look, alright, listen,
just take it easy!

'What color pajamas
is she wearing?'

‐ Pink.
‐ 'Look for the color.'

Alright, when was the explosion?

‐ It was 10 minutes ago.
‐ Backup's on the way!

Oh my God.

‐ I found a foot!
‐ 'Alright! Yeah, here!'

‐ Alright, take it easy!
‐ There she is!

‐ 'Oh, my God!'
‐ Not too close!

‐ Not too close! Easy!
‐ 'Find her head!'

Gently! Alright, let's go!
Gently, alright?

Let's roll her,
get the board.

Right.

Oh, God!

Weak pulse. Breath sounds?

Oh, my God!
She's not breathing!

Reilly, get an ET tube!
Are you with us, Reilly?

Yeah! Yeah! Come on,
come on! Come on!

‐ Shoot!
‐ For crying out loud!

‐ I got another one!
‐ 'Come on!'

'Here, here! She's got it.'

'Oh, thank God!'

'Good breath
sounds bilaterally.'

Okay, darling, you're gonna be
just fine. Let's wrap her up.

Let's get her up.
One, two, three.

Easy, easy. Okay.

'We need the oxygen mask.'

Okay, sweetie, this is gonna
help you breathe, okay?

Let's get out of here.

'Are you taking her
to the hospital?'

‐ County.
‐ Is she gonna be okay?

We're gonna make sure
at the hospital.

I‐I'm coming too.

‐ 'I'll get dressed.'
‐ Gotta find your own transport.

The ambulance is full.

‐ We can make room.
‐ Forget it.

I'm not letting these
idiots into my rig.

It's the girl's mother.

Yeah, you heard her.

They knew the heater
was a hazard.

And they got a kid
living near it

they're too drunk to notice.

Okay.

Stupid people shouldn't breed.

‐ Morning.
‐ Oh, morning.

‐ How's it going?
‐ Going.

Man, did you see all
that traffic this morning?

I took the El today, as usual.

I‐I didn't think you
were working today.

Oh, yeah. Well, I got called
in. It's just as well.

How did it go last night?
I was thinking about you.

Oh, yeah, thanks. I got your
message. I'll fill you in later.

Susan.

Glad you could fill in
on such short notice.

No problem.

You'll be able to
go home by four.

I can do a full 12.

Okay, let's get a CBC,
Chem‐7, a‐‐

Heel‐stick of glucose.

‐ I said that already?
‐ Twice.

Lip lac in three.

‐ Looks like stitches.
‐ I'll get it.

‐ Sure you can handle another?
‐ Yep.

Mark, were you
looking for me?

Morgenstern wants
to see us upstairs.

‐ Did he say why?
‐ Something wrong?

No, but it's May the 2nd,
so it could be the announcement.

‐ Announcement?
‐ Resident of the Year.

Not that I'm expecting it.

Emergency medicine always
gets overlooked.

Oh, yeah.
Resident of the Year.

Did I remember to put
your name in? I did.

Isn't the announcement in June?

First of May.

So do you think
you're gonna need me today?

The reason I'm asking is

if you don't need me

and nothing on the schedule..

...Simon got me in to assist

on a breast
reconstruction at 10.

Which is a procedure
that I haven't done yet.

‐ Somebody page me?
‐ Dr. Ross, Trauma one.

Hey, I hear you're doing
an OB rotation at Parkland?

I fly to Dallas on Friday.

I wanna talk before
you leave, okay?

I'm here.

Where's Ross?

Went out to Meet the paramedics.

Got a little girl in bad shape.

Dr. Benton, since a lot of
surgeons have mentioned

that an elective
in plastics can't hurt.

Oh, plastics. The beautiful
people's specialty.

‐ I thought I'd check it out.
‐ Well, go on. Go.

‐ You sure? Thank you.
‐ Yeah.

Thank you.

‐ I got your page.
‐ Yep.

On this lovely May morning..

we have a 6‐year‐old girl
exhumed from rubble.

Respiratory arrest. Resuscitated
on the scene. BP, 90/60.

‐ Thanks for calling me early.
‐ Just protecting myself.

If we're gonna be
working together

I'll make sure you're onboard
from the very beginning.

He must have been
wearing a big ring.

Yeah, this could take
a few stitches.

Will there be a scar?

Well, there could be
at the vermilion border

where the lip meets the skin.

Do you want me to call
a plastic surgeon?

Not that I'll be
staring in the mirror

but my boyfriend
says I have a pretty face.

You do.

Somebody's mighty
low to mug you.

Honey, three times
in two years.

They think the blind
are an easy target.

Well, I think you set
this one straight.

That self‐defense course
was worth every penny.

The cane worked like a charm.

Radared in on his balls.

Bam! Bull's‐eye!

He let go of your purse,
did he?

'Wouldn't you?'

‐ What's that, Ms. Crandell?
‐ Tip of his pinkie.

You bit his finger off?

If the police don't
need it for evidence

I want it for a souvenir.

I want Mommy!

She'll be here
in a minute, sweetie.

C‐spine is clear.

Let's get that collar off.
No pneumo.

‐ Alright.
‐ DPL's negative.

Crit's normal.
No internal bleeding.

Becky, you're one
lucky little girl.

‐ Good work in the field, 47.
‐ Lucky Carol was with us.

It was very scary, but you
are a brave little girl.

‐ Where's my mommy?
‐ She'll be here any minute.

Wait, hold on. She's got
a bulge in the groin.

‐ Where?
‐ There.

Reducible hernia?
Hmm...Incarcerated.

Probably caused by increased
intra‐abdominal pressure.

‐ From the trauma?
‐ Let's get her up to Surgery.

Becky, tell you what,
you're gonna be fine.

Dr. Benton here is gonna
fix you right up, okay?

As soon as your mommy
and daddy get here

I'm gonna bring
them up to see you.

Gosh, no. Sorry to disappoint.

Don't they announce
that in June?

First of May. Doesn't matter,
it was a long shot.

No, I called the two of you up
to start a conversation

about next year's
Chief Resident.

Good idea.

Hope you don't mind

me including Kerry
in this conversation.

Not at all.

She's one of the
strongest chiefs

we've had in years.

You did a fine job
for us also, Mark.

I thought Kerry and you could
make this a mutual decision.

Susan Lewis would
be my first choice.

Before we discuss
specific candidates

we ought to brainstorm
about what qualities..

we'd see in an ideal chief.

Makes sense.

Our chief needs to be
focused in crisis.

Exactly. A leader in the ER
needs to cut to the chase

assume the worst.

Right, don't you
think Susan Lewis

has that quality?

I think Kerry's right. Let's
not try to solve this today

let's just start
the ball rolling.

Carter, glad I caught you.

Yes, I was just about to assist

on my first breast
reconstruction.

‐ Well, I'm afraid you aren't.
‐ Why?

Did you call the
registrar's office

requesting a review
of your transcript?

I want to verify that
I'm graduating with honors.

They discovered when
they pulled your records

that you're deficient
in ambulatory medicine.

What?

You can't graduate
without seeing

the required number
of Pedes patients.

What?

Luckily, Doug Ross
is willing to take

you on for the next four weeks.

I was hoping for an elective
in plastics.

Good news is if you
start this morning

you have the time
to complete this remedial work

and graduate
with the rest of your class.

Dr. Ross is expecting you.

Yeah, and I want that consult
down here stat.

Susan, did you just say "stat"?

Yeah, and I mean it.

Oh look who's here!
Isn't she precious?

'She looks just like her mommy.'

Will she let me hold her?

Oh, I hope so,
my arms are about to fall off.

‐ Hello. Hello, baby.
‐ So tiny.

‐ Hello.
‐ Nice outfit.

‐ I think so.
‐ Hey, it's Randi‐Wear, right?

‐ Susan?
‐ What do you got?

A woman passed out in the
crosswalk.

GCS, 10 in the field.
She's coming around.

Okay, Trauma 1.

Ma'am. Ma'am, do you
know where you are?

Alright, let's move her
on a count of three.

One, two, three.

‐ Get a glucose.
‐ She's hypertensive, 170/120.

Titrate a Nipride drip
to a diastolic of 100.

Ma'am, do you have a history
of high blood pressure?

‐ Oh, no. Not again.
‐ Okay, okay. Try and relax.

Her name is Joanne Bairos.

Joanne, we're gonna try and
lower your blood pressure.

Has it happened before?

I don't wanna lose
this baby. Not again!

You're pregnant?

‐ Yes.
‐ How far along?

Um, 20. No, no. 21 weeks.

Okay, cancel the Nipride

give her 10 of hydralazine.
Call OB.

‐ You lost an earlier baby?
‐ Last year.

In the sixth month.

Oh, God, I can't live
through this again.

Okay. Hook her up to a fetal
monitor and an EKG.

Did you have preeclampsia
before? Do you remember?

They said it was high blood
pressure.

It‐it made my placenta tear

and if they didn't take
the baby out, I'd die.

‐ I see.
‐ My baby was too little.

‐ She couldn't live.
‐ BP's rising, 180/130.

Add propranolol.
Who's on call for OB?

‐ Dr. Croix.
‐ But it's not the baby's fault!

Your hypertension is probably
related to the pregnancy.

No, no. But I've
been dizzy sometimes

in between the pregnancies.

‐ You have?
‐ Yes.

‐ What's the fetal heart rate?
‐ 145. Good variability.

Please, don't let them take her.

'Susan, shouldn't
we be moving her up?'

No, I'm gonna do an
ultrasound first.

Her BP's 190/140.

The fetus isn't in distress.
I want an ultrasound first.

‐ What are you doing?
‐ Trying to save your baby.

I don't know,
I'll check it out.

Yeah, I heard you.
I'll check it out.

Told you they were mad.

Haleh, is that ultrasound

for the hypertensive patient

OB's been screaming at
me about?

Who the hell ordered that?

I'll take care of it.

Bring me up to speed.

Hypertensive woman
in her 21st week.

Fetal heart tones normal.

She responded to hydralazine
and propranolol.

‐ What's the BP?
‐ 130/100.

‐ She's stable for transfer.
‐ Any contractions?

Some cramping,
nothing on the monitor.

It's preeclampsia.
Get her up to OB.

It's Susan's patient, Kerry.

Patient lost a 22‐week fetus

last year to preeclampsia.

For goodness' sake.

Complains of dizzy spells

and possible hypertension

between pregnancies.

Any protein in the urine?

Susan, if we've learned
anything‐‐

Yes, yes. There! Right there!

'Mass in the adrenal gland.'

Call the OR to schedule a room.

You're right.
Looks like Conn syndrome.

What does that mean?

You have a tumor
in your adrenal gland

producing a hormone which is
making your blood pressure rise.

It's very serious.

You'll probably need surgery
to remove the mass.

‐ But the baby?
‐ Should be okay.

Cancel OB, we're going to
Surgery.

Good call, I think all
of us would've missed that one.

They could've done the
ultrasound in OB.

Yeah, they aborted
her last time.

Let Surgery know
we're on the way.

Well, I think we've earned
ourselves a doughnut.

Anyone want a Dinkles?

‐ They've got some inside.
‐ Help yourself.

‐ Could you bring me back one?
‐ Yeah, you bet.

He's trying.

Now I'm supposed to eat
doughnuts with the guy?

It's not his fault
Raul died, Shep.

‐ It's not your fault either.
‐ I know.

I know whose fault it is.

It's the fine,
upstanding, drugged‐out

meth‐burning citizens
we're here to serve.

That's who Raul died for.

‐ Oh, you're kidding.
‐ That's what I heard.

Resident of the Year.

I guess it isn't
a personality contest.

‐ Do we have to go to the party?
‐ There's gonna be cake.

‐ Anyone seen Dr. Ross?
‐ Check the lounge.

Ted, you're an attorney.
Never say, "Trust me".

So, the divorce wasn't slow
and complicated enough

with two parties
and two lawyers.

Now we have to get
a mediator involved.

I don't believe in divorce.

I always suspected you were

an old‐fashioned girl.

Don't believe
in marriage either.

Oh, Dr. Benton, Your Highness

Sir, Dr. Bradley
was looking for you.

‐ When?
‐ Just now.

He said it was regarding
your letter

to the Ethics Committee.

Thanks.

I'm gonna need some help!

Loretta? Loretta,
I got you. I got you.

Clear Curtain Area 2.

I got you.

So I don't pretend to be happy
about the situation

but I'll do my best for you.

And I'm available at any hour.

She's not falling
for the guy with amnesia

‐ Is she?
‐ Nah, she's faking.

Ever since she got possessed

it's completed changed
her personality.

So do you need me
for anything right now?

'Well, we'll see what comes in.'

You're a fourth year,
so you're not gonna need

a lot of handholding.

You'll get me out on time,
which works for me.

So, just show up,
hang out and you'll get an A.

'Something tells me that it will
change our lives forever.'

Whatever happened
to his brain tumor?

It was cured when
he was struck by lightning.

It was not.

Watch out, he's gonna drug her.

‐ 'Ready?'
‐ 'I promise you..'

'You will not be disappointed.'

‐ BP's 70/50.
‐ Okay, let's get that EKG.

Does your father have
a history of heart problems?

Not before a few weeks ago.

He was having trouble
breathing at nights

so he went to the clinic.

They said my heart

wasn't pumping hard enough.

Did they give you any
medications?

Yeah, they did.

Here they are.

'Danny, honey, no!
I'm so sorry.'

‐ 'I'm really sorry.'
‐ What have we got?

Mr. Dellanova's complaining
of nausea and blurred vision.

Why don't you show them
to the waiting room.

‐ When did he get this medicine?
‐ On the 18th.

How's that EKG, Kerry? Sinus
Brady with 2nd degree AV block?

‐ How'd you guess?
‐ Took too many tablets.

You should have a lot left.

‐ Malik, get a dig level.
‐ What is it?

Your father
overdosed on digoxin.

‐ Is that serious?
‐ It can be.

But we caught it in time.

Stand by with Digibind.

Or do you want a lavage?

It's all yours.

Dr. Bradley, you were looking
for me. Dr. Benton.

Yes. I'm sorry it took so long
to respond to your letter.

Well, I know you're a busy man.

I gather you are too. Your
letter was dated April 23rd

but you left Dr. Vucelich's
study in early February?

‐ That's true.
‐ So it took three months..

..to report on what
you yourself called

"An alarming disregard
for research study protocol"?

Well, I was hesitant

to make accusations
against Dr. Vucelich.

I mean, a man of his stature

I believe that caution
is warranted.

Let me return your
letter to you now.

‐ These claims are accurate.
‐ Oh, I have no doubt.

Since they are reported in the
addendum to Vucelich's study.

He's owning up to it?

Apparently it
was always intended

to be part
of the published article.

When did Dr. Vucelich
add the addendum?

Before or after
I sent the letter?

I wouldn't be able
to answer that.

‐ Feeling better?
‐ Some. What happened?

You were dehydrated.

Oh, I couldn't
keep anything down.

Did your oncologist
prescribe Compazine?

No.

Did you tell him
about your symptoms?

I tried, but he's pretty busy.

I called about the burns,
and he never got back to me.

Radiation burns.

I thought it was
supposed to happen

but another woman
in the waiting room

says I shouldn't
be getting burned.

What's your oncologist's
name again?

Dr. Lyle Howard.

Look, my kids are
at a neighbor's.

‐ Can they spend the night?
‐ Yeah.

You're being admitted.
I'll stop back.

Mark, Susan just had
an interesting case

but I can't convince her
to present it to the students.

‐ There's not much to present.
‐ Sure there is.

Have you all met my new
student, John Carter?

‐ You're doing a Pedes rotation?
‐ Never too late.

‐ You're mighty chipper today.
‐ Yes, I am, thank you.

'So, Mark, I was trying
to explain that Susan'

needs to think like a teacher.

Explain how she arrived
at her diagnosis.

I don't know. It just occurred
to me he took too many pills.

Oh! It's freezing in here.

I'm trying to impress on Susan

the importance of recognizing

a good opportunity
to augment her teaching files.

‐ 'How did the patient present?'
‐ 'Elderly man, late 70s.'

Disoriented, short of breath,
blurred vision...

Goddamn it. Where are you?

'Susan? Susan,
what do you think?'

I've got patients waiting.
I gotta get back to work.

‐ Ah!
‐ Ah!

Okay, buddy. You're not
feeling so great, huh?

‐ What's his temperature?
‐ 103.

Okay, Carter, this is a good
place for you to start.

Why don't you come get me
and present your findings.

No problem.

I'm gonna listen
to your chest.

Okay, take a deep
breath for me.

Oh, Dr. Ross, someone
named Karen called for you.

‐ Any message?
‐ Confirming lunch.

So Karen's her name, huh?
Where'd you meet her?

We have a mutual acquaintance.

Did you ever get a hold
of that oncologist, Howard?

Ah, his secretary said
he'd be tied up all afternoon.

Where is he?

Uh, upstairs..

Number 701.

Mark?

Do you have a second?

This is Jennifer, my..

‐ Soon‐to‐be ex‐wife.
‐ Hi. Randi.

You have a great
soon‐to‐be ex‐husband.

Excuse me.

Where is Jerry?

Oh, he's off today.

Something wrong?

No, I was just in town
to see my lawyer.

'You know, I don't know.
About an hour into the meeting'

I realized I'd spent $250.

'It just seems so ridiculous.'

It's just, we've been making
decisions together for 15 years.

I just thought we could get
together and cut to the chase.

My shift ends at 8.

Great. I'll swing by then.

1033.

Great. Now what?

Has anyone called
for paramedics? Hello?

My brother is shot.

This way.

Stay close.

Whore!

One more word outta you and your
pal can freaking bleed to death

right where he is.

We're sorry. Please!

She's a nurse and she works
every day saving your asses!

I'm okay, Shep.

I wish you would've
stayed in the rig.

I've spotted our customer.

Stand back, stand back!

He's barely breathing.
Time to practice again, Reilly!

‐ Got it!
‐ Weak pulse.

I'm gonna start an IV. My God,
how many times was he shot?

Is he dying?
Don't let him die.

Step back! Just let me work!

Reilly, go get the board.

‐ We're gonna need the board.
‐ Got it.

Alright. IV's in,
wide open. You okay?

Yeah, I'm good.
I'm good. Back off!

Take a deep breath.
You're doing fine.

‐ Help him, man! Come on!
‐ You've got to step back!

Help him! Come on,
man, help him!

Stay off!

Hey, take it easy, man! Easy!

'Easy.'

‐ Hey, what happened?
‐ He wouldn't back off.

‐ He's out cold.
‐ Good. Maybe now I can work.

So that's your diagnosis.
The kid has the flu?

Viral syndrome.

I prescribed fever‐control

measures and fluids.

A rash, conjunctivitis,
swollen glands.

How long has he had the fever?

Ah, his mom said about a week.

Fever of unknown
origin for seven days.

‐ Did I miss something?
‐ What color's his tongue?

‐ Pink.
‐ Not strawberry?

Ah, maybe. I'm not sure.

Did you notice his chapped lips?

Yeah.

Alright, give him an aspirin

and order an echocardiogram.

Aspirin, I thought you never
give aspirin to a child.

Unless of course he's
diagnosed with Kawasaki's.

Kawasaki's, um..

Kawasaki's is a cluster
of unremarkable symptoms

that can lead
to coronary aneurysm.

Fever, chapped lips

and strawberry tongue
are the tip‐offs.

Admit the boy to the Pedes unit.

Right away.

Susan? Susan, I thought
you went home at four.

What, and miss the big party?

Yeah, I just heard.

Certainly my choice
for Resident of the Year.

So you're not avoiding
going home?

Well, there's that too.

Look, do you want
to get a bite

to eat later on or something?

Damn, I just made plans.

‐ I can cancel.
‐ No, no, I'm fine.

‐ Tomorrow?
‐ Yeah, sure, we'll see.

Mr. Dellanova,
you're doing much better.

We're gonna admit you
to CICU for follow‐up.

Okay, I need your
John Hancock on this.

All these lines.

Just the one marked "Patient."

Your father said the overdose
was an accident?

Oh, yes.

The dosage was right
there on the bottle.

'My mom died a few months ago.
He misses her.'

I've had to take over
doing his bills

but that's just
because he hates paperwork.

'I mean, he always has.
He's not the suicidal type.'

'And does he need
glasses for reading?'

‐ He's more of a TV‐watcher.
‐ Ma'am, if you come with me.

‐ We'll get him admitted.
‐ Okay.

‐ Pop, I'll be right back, okay?
‐ Bye, sweetheart.

Alright.

Mr. Dellanova,
do you know my name?

I know I owe my life to you.

No, my name. I'm wearing it.

Can you read this?

Ah...doctor something.

I can't make out
the second part.

I'm Dr. Lewis.

And you need to tell your
daughter that you can't read.

'It's nothing to be ashamed of.'

I thought the clinic said
something about twice a day.

I thought maybe
it was two pills each time.

Medications can be tricky
for a lot of reasons.

I never wanted my kids to know.

I wanted them to..

To do school right.

And you raised a good daughter.

And now you should
let her help you.

You want your kids
not to be ashamed of you.

You have children, right?

Uh. No.

No, I don't.

Excuse me, it's been a bad day.

Yeah, stack it in the lounge,
put the cake in there too.

‐ What's this?
‐ Sparkling cider.

For some announcement thing.

Dr. Greene told me
to put it there.

Don't tell him I saw it.

Alright, Carter

I'm going across
the street, grab a lunch.

And I'm late,
so you page me if you need me.

And, Carter, if you're
wondering, you do still need me.

‐ I know. I will.
‐ Uh‐huh.

Got a twofer. Adolescent male

sprang a few leaks
when one of his homeboys

disapproved of his method of
tying twisties on the baggies.

Gurney two fell down,
went boom.

Alright, I'm with Shep.
Carter, you take 2.

Haleh, you get Benton
for me, please.

Join you in a minute,
Mr. Carter.

Okay.

'Alright.
Start pumping the fluids.'

Four units O negative
on the rapid infuser.

‐ BP's 40 palp.
‐ The kid's Swiss cheese.

‐ He's draining like a sieve.
‐ I'll start a central line.

Get a CBC, Chem‐20
and chest films.

How old do you
think this kid is?

My guess is 14.
But look at the scars.

He's been around.

‐ V‐fib!
‐ Alright, let's shock him.

No, hang on. Move that.

‐ Excuse me.
‐ Just a second.

‐ Ross called me?
‐ Trauma 1.

Not responding.
Thoracotomy tray.

Finally, Peter.
I'll check on Mr. Carter.

10‐blade, please.

Oh, what is that,
an entrance or exit wound?

‐ At this point, who can tell?
‐ 'Okay.'

'You want me to crack him?'

‐ 'Nope, I got it.'
‐ 'There you go.'

‐ 'Rib spreader.'
‐ 'I'll break it for you.'

'Ah, what a mess. Bullet
must have nicked the aorta.'

'I need some
suction here, please.'

‐ Aorta's cross‐clamped.
‐ He's in fib!

Internal paddles! Squeeze
another three units, please.

Hang on.

Give me 20.

Charging. Clear!

Again. 30, charging. Clear!

We've got a rhythm. Let's go!

'Shooting! Clear.'

Okay, did you get an AP,
a lateral and an open‐mouth?

Once he clears the C‐spine,
let's send him for a Panorex.

No signs of respiratory
distress.

One million units Pen G.

I feel a deformity.
What did he hit his jaw on?

A stone coffee table
with a sharp edge.

Yeah, he fell right
over backwards onto it.

He really didn't fall,
did he? He was pushed.

Yeah, I shoved him.
I was trying to tube his pal.

'You threw him
across the room.'

I wish I had thrown him.
I felt like it.

'However he fell,
he needs a head CT.'

Let's call Maxillofacial,
wire the jaw.

Well done, Mr. Carter.

‐ Are you looking for someone?
‐ Oh..

‐ Coming through!
‐ Sorry.

Hey! Hi. Sorry I'm late,
I got held up.

‐ I think I'll wait outside.
‐ I'll be there in a minute.

‐ Oh, take your time.
‐ Yeah.

‐ Hey, Reilly?
‐ What?

Don't ever pull
that crap again.

What are you talking
about? What crap?

You know what I mean!

Too late for a lunch?

I kind of lost my appetite.

Yeah, I guess you didn't
see anything in there

that changed your opinion
about hospitals.

Or doctors.

Hey, Doug, you haven't
by any chance

heard from your
dad today, have you?

No, I haven't. Why?

I can't reach him
in the Caymans.

He'll turn up.
He always does.

Although sometimes
it takes years.

Oh, you think that's funny?

Yeah, he's got some of my
hard‐earned money with him.

A lot of money?

Enough.

Hey.

There's really only one thing
to do after a day like today.

‐ What's that?
‐ What time do you get off?

Boy, did I pick
the wrong specialty.

‐ What's that?
‐ Emergency medicine.

Damn radiation oncologists

work a few hours, and then
lock the doors at ten to five.

Those radiation oncologists
sound pretty smart.

You're Dr. Howard, aren't you?

You're Mark Greene?

Saw your name on the call sheet.

I didn't have time
to get back to you.

I was calling about a patient
of yours. Loretta Sweet.

She's down in the ER. She's
hypovolemic with cystitis.

Yeah, that happens.

The ER sounds like
the right place for her.

She seemed unprepared
for the side effects.

If she complains at her next
visit, I'll prescribe Compazine.

She tried to bring
up a few things.

I think she feels
overwhelmed and confused.

Don't they all?

Maybe that should
tell you something

about your success of keeping
your patients informed.

I give my patients
plenty of information.

She also has radiation burns.

‐ This a relative of yours?
‐ Friend of the family.

Catch me during office hours,
I'll review her chart.

Trauma 2!
Didn't you get the page?

‐ What page?
‐ Hicks is frantic.

‐ Multiple trauma in 2!
‐ I didn't get a page!

She paged you half an hour ago.

Surprise!

♪ For he's a jolly good fellow ♪

♪ For he's a jolly good fellow ♪

♪ Which nobody can deny ♪

‐ Resident of the Year!
‐ 'Congratulations.'

'Alright, Dr. Benton!'

No, it's a prestige thing.

I mean, they'll never
give it to an ER Resident.

Susan, there's a patient here

that you're going
to want to see.

You're off an hour ago.
You want me to get it?

No, I'm fine.

I won't deny it.

When Susan's on
her game, she's good.

‐ I agree. Focused and decisive.
‐ She was today.

I just wish she was like
that all the time.

She's not very adept
at keeping

her personal problems
out of work.

Goodnight, all. See you.

Uh, Peter? Congratulations,
you deserved it.

I hate to run,
but I got an appointment.

Good work, Peter.
I'm proud of you.

So give my best to Karen.

So, Peter, I have an
intussusception in half an hour.

Care to join me?

Sure.

I think I'll cash in on
my 15 minutes' worth of fame.

You worked hard enough for it.

So did you nominate me?

No, I believe
that was Carl Vucelich.

So in case you thought
I hadn't noticed, I had.

‐ I'm gonna miss you.
‐ Good. You should.

‐ What is it?
‐ Oh, man, I'm so pissed.

‐ What?
‐ That Reilly.

Punk! He put in a freaking
incident report against me!

‐ What?
‐ Yeah.

He said I used excessive force

with that guy,
that banger with the busted jaw.

You see, he made it sound
like I went off or something.

The guy's supposed
to be my partner.

Why would he say that?

He's green.

He was amped,
we were all amped.

I mean, you saw it,
I barely shoved that guy.

Come on, it's been a long day.

So we'll say every Wednesday,
every other weekend

...and we'll rotate
summers and holidays.

That should work.

It will include the stipulation

that we have
to stay in the Chicago

Milwaukee area
until Rachel graduates

from high school.

‐ Can you even imagine?
‐ No.

That was easy.

So should we split up the
stock portfolios?

Oh, sure.

I'll split a piece
of pie with you.

You're on.

‐ Slice of rhubarb.
‐ 'Alright.'

‐ Two forks.
‐ 'Coming up.'

Why don't you wait over there?

Okay.

So, Mr. Johnson, I hear
you had a little accident.

Yeah, I cut my finger.
I was making a sandwich.

The kitchen can be a
dangerous place.

It won't stop bleeding.

Cut the tip
of your pinkie off.

We'll need to irrigate that.

Are you right‐handed,
Mr. Johnson?

Yeah.

Then how did you manage to cut

the tip of your
right pinkie off?

Yeah, wouldn't you
cut your left hand?

I don't know.

And what about
your other injury?

Fell back on my chair
and landed on the leg.

Alright, you wanna lie back
so I can look at that?

Oh, yeah, that's one mean
testicular contusion.

We'll do an ultrasound of his
pelvis. Immobilize his leg.

You're gonna need
to lie very still.

So did you bring
the tip of your finger in?

We can graft it back on.

‐ Ah, no, I couldn't find it.
‐ Lost in the kitchen, huh?

Well, it doesn't matter.

We can probably
make this one fit.

Hey! Let me up! Let me up!

‐ That was fun.
‐ Made my day.

I can't believe
we just did that.

Me neither.

Oh, God!
What am I gonna tell Craig?

You've handled
that one before.

Is that what this was?
Revenge?

A parting shot?

No, no, no.

It was just a bad idea.

Yes, it was.

This okay? Right here, okay?

Um, well, I don't think we
should sit until we dance.

No, no, no.

Getting shy on me?

Shy? What, are you kidding me?

I was gonna complain

because it's not big
enough out here.

Not big enough for you?
Well, well.

♪ I'm talking
about you you you ♪

♪ I'm talking
about you come on ♪

♪ I'm talking
about you now.. ♪

♪ I'm talking about you ♪

Oh, God! That was a good one.

♪ If you're gonna
walk on my lovin' ♪

Well, am I right or am I right?

Good way to end the day.

What day?

♪ If you're gonna
walk on my lovin' ♪

♪ Well, the least you can do
is take off your shoes ♪

Oh, yeah, you're so big.

You're such a big girl.

Aren't you, sweetie?

Yeah.

Yeah.

Yeah.

Yeah, you're gonna go
on a big, big, big trip.

We're not gonna
push too hard.

She usually does
okay in the car.

I love you, Suze.

Hurry and come visit.

Can you put her in the seat?

‐ Here we go, sweetie.
‐ Oh, no, sweet pea, don't cry.

‐ Watch her head.
‐ Yeah. There you go.

‐ Oh, no.
‐ Oh, no, sweet pea, don't cry.

Yeah, it's okay. Yeah.

Oh, my...where's Mr. B?

‐ Who?
‐ That ratty pink and blue bear.

I put him by the door.
She cannot ride without him.

‐ Did you pack it?
‐ I don't know.

I know I left it by
the door. Where is B?

Oh, yeah. It's okay.
Yeah, we'll find him.

‐ Here. Here, will this work?
‐ No, it has to be the bear.

She can't sleep either. Damn it!

Okay, I'll go look upstairs.

Okay.

Okay. Yeah, I'm still looking!

It's okay, Susie!

Goddamn it, Mr. B!

Where are you?

Susie!

'Hey, Susie! It's okay!'

We found it!

Yeah. Yeah! Everything's
gonna be okay now.

‐ There you go, yeah.
‐ Look. We found it, sweetie.

No, no, you do it.

Here's Mr. B. See? Come on.

Yeah.